Our journey to digitally transform the discharge medicines review service

To improve the continuity of care between sectors, the Welsh government supported the introduction of a new community pharmacy service in Wales in 2011: the discharge medicines review (DMR). At the time, this service involved the pharmacist receiving paper discharge advice letters that were generated after a patient’s stay in a care setting, such as in hospital, and checking that the medicines information on that letter matched the medicines prescribed by the GP (see Figure).